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Frontier Health
Substance Use Disorder Rehabilitation Clinic/Center in Johnson City, Tennessee
NPI 1134282551

Frontier Health is a Substance Use Disorder Rehabilitation Clinic/Center based in Gray, TN and is specialized in Rehabilitation, Substance Use Disorder. Frontier Health practices in Johnson City, TN. The NPI Number for Frontier Health is 1134282551 and holds a License No. L-214-076-1412 (Tennessee).

The current practice location address for Frontier Health is 607 Baxter St, Johnson City, TN and can be reached out via phone at 423-232-2670 and via fax at 423-928-0381.

Location: 607 Baxter St, Johnson City, TN, 37615-9054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134282551
Provider Name
Frontier Health
Credential
Provider Entity Type
Organization
Address
607 Baxter St, Johnson City, TN, 37615-9054
Phone Number
423-232-2670
Fax Number
423-928-0381
Provider Enumeration Date
12/18/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
SAME AS MEDICARE #S 05 TN
49-4914-5 05 VA
institution
Provider Business Practice Location Address Details
Address
607 Baxter St
City
Johnson City
State
Tennessee
Zip
37601-4003
Phone Number
423-232-2670
Fax Number
423-928-0381
person
Provider Business Mailing Address Details
Address
607 Baxter St
City
Johnson City
State
Tennessee
Zip
37601-4003
Phone Number
423-232-2670
Fax Number
423-928-0381
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
319 (Tennessee)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
L-214-076-1412 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
L-214-076-1412 (Tennessee)
Definition
Definition to come...
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